There are many causes of leg swelling in the elderly, such as renal edema, cardiac edema, dystrophic edema, functional edema, and edema caused by endocrine imbalance. If it is accompanied by proteinuria, hematuria or renal dysfunction, it is considered to be renal edema. If it is mainly proteinuria, hormone combined with cytotoxic drugs can be used to inhibit immune inflammatory reaction and delay the deterioration of renal function. Cardioedema is mostly accompanied by pleural effusion or pericardial effusion. Hydrochlorothiazide, furosemide, spironolactone and other diuretic methods can be used to reduce swelling and prevent water and electrolyte disorders. Dystrophic edema is often accompanied by low albumin and other nutritional indicators decline, which can supplement albumin and increase nutrition. If it is the edema caused by endocrine disorder, it can be reduced by treating the primary disease, and it can be treated with Chinese herbal decoction, with good effect.